2014-10-01T13:12:07-05:00 2013-12-31 560747981 DIXON HUGHES GOODMAN LLP PO BOX 1556 MORGANTOWN WV 265071556 990 2013-01-01 550329724 ELKINS REGIONAL CONVALESCENT CENTERINC ELKI 3046361391 1175 BEVERLY PIKE ELKINS WV 26241 DENISE L CAMPBELL ADMINISTRATOR 3046361391 2014-09-24 1 SUSAN S DULL P00233523 3042927343 2013 2015-11-30 17:44:51Z ELKINS REHABILITATION AND CARE CENTER DENISE L CAMPBELL 1175 BEVERLY PIKE ELKINS WV 26241 9335355 0 X WWW.ERCC.BIZ X 1953 WV PROVIDES SUPERIOR, PERSONALIZED HEALTH CARE IN AN OPEN AND FRIENDLY SETTING 14 13 204 40 0 0 510 1168 9221952 9168097 60997 45841 60345 63060 9343804 9278166 8650 8216 0 0 5125129 5620781 0 0 0 3301946 3360251 8435725 8989248 908079 288918 6865146 7257530 3899187 3916556 2965959 3340974 X WE ARE COMMITTED TO PROVIDING EACH RESIDENT WITH SUPERIOR, PERSONALIZED HEALTH CARE IN AN OPEN AND FRIENDLY SETTING THAT WELCOMES FAMILY PARTICIPATION. 0 0 5112594 8216 5490472 INTERMEDIATE CARE - THE ORGANIZATION IS A 111 BED DUALLY-CERTIFIED NURSING HOME, PROVIDING 24-HOUR INTERMEDIATE CARE TO RESIDENTS OF THE COMMUNITY AND SURROUNDING COUNTIES. THE ORGANIZATION EMPLOYS OVER 150 EMPLOYEES, WHO ARE INVOLVED IN COMMUNITY PROGRAMS HELPING TO PROMOTE CARE FOR THE ELDERLY AND THOSE WITH EXTENDED CARE NEEDS. 999962 1453234 SKILLED CARE - THE ORGANIZATION'S NURSING STAFF INCLUDES MORE THAN 75 PROFESSIONALS WHO WORK WITH PHYSICIANS TO PROVIDE A FULL RANGE OF SKILLED AND DAILY CARE. THE ORGANIZATION PROVIDES 24-HOUR SKILLED CARE TO RESIDENTS OF THE COMMUNITY AND SURROUNDING COUNTIES. CURRENTLY, THE ORGANIZATION IS THE ONLY NURSING HOME IN RANDOLPH COUNTY THAT ACCEPTS SKILLED MEDICARE RESIDENTS. THE ORGANIZATION PROVIDES RESIDENTS WITH IV THERAPIES, FEEING TUBES, CATHETERS, WOUND CARE, VACCINATIONS OR OTHER TREATMENTS AND DAILY LIVING SUCH AS EATING, DRESSING AND BATHING. 580619 2224391 REHABILITATION - THE OUTPATIENT DEPARTMENT CONTINUES ITS SERVICES TO ASSIST THE RESIDENTS AND OUTPATIENTS WITH ISSUES OF INCONTINENCE AND TO PROVIDE SERVICES SUCH AS E-STIM AND NAUTILUS EQUIPMENT TO IMPROVE BALANCE, GAIT, AND STRENGTH. THE ORGANIZATION USES A MEDICAL RECORDS SYSTEM WHICH ELECTRONICALLY RECORDS DOCUMENTATION OF DIRECT PATIENT CARE BY THE CERTIFIED NURSING AIDES TO BETTER BENEFIT THE RESIDENTS AND STAFF. THE ACTIVITIES DEPARTMENT HAS CONTINUED TO INCREASE INVOLVEMENT OF THE RESIDENTS IN COMMUNITY ACTIVITIES SUCH AS ATTENDING CONCERTS AT THE LOCAL COMMUNITY ARTS CENTER, THE FOREST FESTIVAL PARADE, ARTS AND CRAFTS SHOW, SYMPHONY CONCERT, TRAIN RIDES ON THE LOCAL TRAIN SERVICE, AND LOCAL HIGH SCHOOL SPORTING EVENTS. THE ORGANIZATION PROVIDES PET THERAPY FOR RESIDENTS AS WELL AS ALLOWS A LOCAL BOY'S SCHOOL TO VISIT WEEKLY TO PLAY BOARD GAMES AND BINGO WITH RESIDENTS. 565477 THE STAFF PARTICIPATE IN LOCAL HEALTH FAIRS, RELAY FOR LIFE, ALZHEIMER'S WALK, RECRUITMENT FAIRS AT LOCAL COLLEGES, AND VARIOUS CIVIC ORGANIZATIONS SUCH AS ROTARY, WOMAN'S CLUB, WV CENTER FOR NURSING, WV HEALTH CARE ASSOCIATION, ETC.THE ORGANIZATION OFFERS THE USE OF CLASSROOM AND CONFERENCE ROOMS TO HOLD FUNCTIONS FOR COMMUNITY ORGANIZATIONS AND FAMILY GATHERINGS AT NO CHARGE. THESE ORGANIZATIONS INCLUDE QUILTING GUILD, WOMAN'S CLUB, AND HOMEOWNER'S ASSOCIATION. THE QUILTING GUILD AND A LOCAL CHURCH MAKE LAP ROBES FOR RESIDENTS. THE RESIDENTS HAVE COLLECTED SODA CAN TABS FOR DONATION TO THE RONALD MCDONALD HOUSE AND NEWSPAPERS FOR DONATION TO THE LOCAL ANIMAL SHELTER. THE ORGANIZATION ALSO ALLOWS COUNTY VO-TECH AND LOCAL COLLEGE NURSING DEPARTMENTS TO HAVE THEIR CLINICAL EXPERIENCE AT THE ORGANIZATION'S FACILITIES. 565477 7258652 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 12 0 204 1 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WV X BETSY L JONES CFO 3046361391 1175 BEVERLY PIKE ELKINS WV 26241 GARY SCHOONOVER CHAIRMAN 1.00 X X 0 0 0 BARRY BAND BOARD MEMBER 1.00 X 0 0 0 RACHEL PINGLEY SECRETARY 1.00 X X 0 0 0 MAXINE COOPER BOARD MEMBER 1.00 X 0 0 0 MATTHEW CUPP BOARD MEMBER 1.00 X 0 0 0 CHARLES FRIDDLE III TREASURER 1.00 X X 0 0 0 JUDITH GUYE SWANSON BOARD MEMBER 1.00 X 0 0 0 BASIL HENSLEY BOARD MEMBER/CHAPLAIN 7.00 X 23000 0 0 MICHAEL TAYLOR VICE CHAIRMAN 1.00 X X 0 0 0 REBECCA POE BOARD MEMBER 1.00 X 0 0 0 DONALD MEGERT BOARD MEMBER 1.00 X 0 0 0 BONNIE SERRETT BOARD MEMBER 1.00 X 0 0 0 HERK KESSLER BOARD MEMBER 1.00 X 0 0 0 LONNIE WOLFE BOARD MEMBER 1.00 X 0 0 0 BETSY JONES CFO 40.00 X 57288 0 4518 DENISE CAMPBELL ADMINISTRATOR 40.00 X 94350 0 5322 DIANA L CRICKARD ASST. ADMINISTRATOR 40.00 X 86920 0 4518 261558 0 14358 0 0 0 0 AEGIS THERAPIES INC PO BOX 8103 FORT SMITH AR 72902 THERAPY SERVICES 436734 US FOODSERVICE PO BOX 644540 PITTSBURGH PA 15264 FOOD AND SUPPLIES 246587 RELIABLE ROOFING COMPANY INC PO BOX 1908 ELKINS WV 26241 RE-ROOFING FACILITY 146527 ELECTOTECH INC 1851 CHILDERS RUN RD BUCKHANNON WV 26201 WHOLE FACILITY GENERATOR 141711 OMNICARE INC PO BOX 715268 COLUMBUS OH 43271 PHARMACY SERVICES 138750 6 1168 1168 SKILLED/INTER. CARE 623000 9168097 9168097 9168097 74545 74545 28485 57189 -28704 -28704 -28704 63060 63060 63060 9278166 9202453 0 74545 8216 8216 275916 23000 252916 3754528 3125535 628993 81000 67430 13570 1473338 1226511 246827 35999 29968 6031 19693 19693 76329 76329 2094 2094 717402 597216 120186 46032 38320 7712 1132209 942531 189678 97963 81551 16412 243461 202674 40787 9418 7840 1578 126429 105248 21181 307529 256009 51520 201352 167620 33732 PROVIDER/OTHER TAXES 372241 372241 EDUCATION AND TRAINING 2387 1987 400 5712 4755 957 8989248 7258652 1730596 0 702 700 2100597 1882399 1145306 1356222 16194 19427 231739 287657 7680957 5422487 2027724 2258470 624090 743146 718794 709509 6865146 7257530 785085 1015934 3095000 2865000 19102 35622 3899187 3916556 X 2965959 3340974 2965959 3340974 6865146 7257530 288918 86097 0 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 2094 2094 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO THE WEST VIRGINIA HEALTH CARE ASSOCIATION (WVHCA) AND THE AMERICAN HEALTH CARE ASSOCIATION (AHCA). WVHCA AND AHCA REPORT THE PERCENTAGE OF THE DUES USED FOR LOBBYING PURPOSES REGARDING HEALTH CARE ISSUES. 287874 287874 4877399 3637830 1239569 1967855 1352719 615136 547829 431938 115891 2258470 BOND ISSUE COSTS, NET-2010 34772 DEBT SERVICE RESERVE - 2010 334320 BOND PRINCIPAL & INTEREST FUNDS - 2010 287316 OTHER ASSETS 53101 709509 PATIENT TRUST FUND 21383 LOAN PAYABLE 14239 35622 X 9392968 86098 86098 9306870 -28704 -28704 9278166 9017952 28704 28704 8989248 0 8989248 PART X, LINE 2: THE CENTER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE ORGANIZATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2013 OR DECEMBER 31, 2012. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON SALE OR DISPOSAL OF ASSETS -28,704. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SALE OR DISPOSAL OF ASSETS 28,704. 1 PART I, LINE 2: EFFECTIVE MARCH 2011, MANAGEMENT REPORTS ALL DONATIONS OF $100 OR MORE TO THE FINANCE COMMITTEE AND ALL DONATIONS OF $500 OR MORE MUST BE APPROVED BY THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS. RECORDS ARE MAINTAINED IN ASSOCIATION WITH THE GENERAL LEDGER RELATED TO CONTRIBUTIONS MADE. A RANDOLPH COUNTY BUILDING COMMISSION 556000391 752606BD4 2010-11-10 3345000 REFUND 1998 ISSUE 0 0 0 A 3277698 3277698 3345000 66500 2010 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 REV BASIL HENSLEY CHAPLAIN 23000 CHAPLAIN AGREEMENT 0 FORM 990, PART VI, SECTION B, LINE 11 DURING THE FINANCE COMMITTEE MEETING THE 990 IS PRESENTED AND REVIEWED BY JIM POLING, CPA FROM DIXON HUGHES GOODMAN WITH ALL MEMBERS ATTENDING THE MEETING. FORM 990, PART VI, SECTION B, LINE 12C DURING THE YEARLY AUDIT PROCESS, THE CONFLICT OF INTEREST POLICY IS MAILED TO THE BOARD MEMBERS FOR REVIEW AND REQUIRES THEIR SIGNATURE AND DISCLOSURE OF ANY CONFLICTS. THE POLICY IS ALSO EXPLAINED AND REINFORCED DURING THE BOARD MEETING WHEN THE FORM 990 IS REVIEWED BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 AN ANALYSIS IS DONE WITH WAGE INFORMATION PROVIDED BY STATE SURVEY VS. WAGE SCALES AND WAGES WITHIN THE AREA AND INDUSTRY, PROVIDED BY HOSPITAL & HEALTHCARE COMPENSATION SERVICE, AND THIS IS USED AS A GUIDELINE ALONG WITH EXPERIENCE FOR REVIEW BY THE BOARD OR MANAGEMENT IN FULFILLING THE POSITION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ON FILE WITH THE WEST VIRGINIA HEALTH CARE AUTHORITY AND ARE ALSO AVAILABLE UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO PUBLISHED IN THE LOCAL NEWSPAPERS.